Photo/Video Release for Minors

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Thank you for submitting a photo/video to the CUC! We are grateful to you for participating in this way, and are looking forward to showcasing the diversity of our community.

The CUC's Photo/Video Policy for Minors requires that in contexts where the CUC is asking individuals to submit images/videos to be shared publicly, only images of minors (children and youth under 18 years old) that are accompanied by a consent form signed by the parent/guardian will be accepted.

You are invited read the full Photo and Video Safety Policy for Minors: https://cuc.ca/wp-content/uploads/2021/02/CUC-Photo-and-Video-Safety-Policy-for-Minors-2021-1.pdf

If you have any questions or concerns about this form or policy, please contact youth@cuc.ca.

Email *

Name of parent/guardian *

Project you are submitting photos or video for *

Briefly describe the audio/visual material you are submitting

Name of child/youth *

Name of additional children/youth in your household who also appear in the images

Consent

I give permission for these images/videos of my child(ren)/youth to be used in the project indicated on this form and shared publicly now and in the future.

I give permission for identifying information to be shared along with the image(s) of my child, such as their full name, age, city of residence, and congregation.

Signature *

Please write your name again to indicate that you have read and agreed to the above and that you are signing this form.

Date *

YYYY

Submit

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